Designated
Health Professional Shortage Areas
Statistics

First Quarter of Fiscal Year 2018
Designated HPSA Quarterly Summary



As of December 31, 2017



Bureau of Health Workforce
Health Resources and Services Administration (HRSA)
U.S. Department of Health & Human Services
Table 1. Health Professional Shortage Areas: Number, Population, and Additional Practitioners
Needed for Geographic Areas, Population Groups, and Facilities as of December 31, 2017
 
           
Practitioners
Needed to
 
 
Number of
 
Population of
 
Percent of
 
Remove
 
   
Designations
(1)
 
Designated HPSAs
(2)
 
Need Met
(3)
  
Designations
  
Primary Medical HPSA Totals
7,176
  
84,367,007
   
48.66 %
(4)
  
14,741
(7)
 
Geographic Area
1,530
  
37,597,644
   
62.61 %
   
4,559
  
Population Group
1,788
  
45,524,160
   
38.89 %
   
9,359
  
Facility
3,858
  
1,245,203
   
32.20 %
   
823
  
Dental HPSA Totals
5,866
  
62,916,553
   
35.28 %
(5)
  
10,802
(8)
 
Geographic Area
767
  
16,968,087
   
60.61 %
   
1,767
  
Population Group
1,797
  
44,266,714
   
25.74 %
   
8,224
  
Facility
3,302
  
1,681,752
   
27.30 %
   
811
  
Mental Health HPSA Totals
5,042
  
123,832,882
   
32.52 %
(6)
  
5,906
(9)
 
Geographic Area
1,172
  
95,399,011
   
38.53 %
   
3,515
  
Population Group
377
  
26,230,889
   
21.35 %
   
1,206
  
Facility
3,493
  
2,202,982
   
20.92 %
   
1,185
  
HRSA Data Warehouse
1 of 7
April 27, 2018
Data as of:
01/01/2018

Designated
Health Professional Shortage Areas
Statistics
Table 2. Health Professional Shortage Areas: Rural/Non-Rural Classification as of December 31, 2017
 
           
Practitioners
 
     
Percentage
 
Population
 
Needed to
 
   
Number of
of All
 
of Designated
 
Remove
 
   
Designations
(1)
Designations
(10)
HPSAs
 
Designations
 
Primary Medical HPSA Totals
 
7,176
    
84,367,007
   
14,741
  
Rural
 
4,237
 
59.04 %
  
24,082,688
   
3,953
  
Geographic Area
 
972
 
13.55 %
  
13,595,916
   
1,750
  
Population Group
 
984
 
13.71 %
  
9,888,732
   
1,825
  
Facility
 
2,281
 
31.79 %
  
598,040
   
378
  
Non-Rural
 
2,421
 
33.74 %
  
43,017,527
   
8,011
  
Geographic Area
 
307
 
4.28 %
  
15,837,028
   
1,900
  
Population Group
 
544
 
7.58 %
  
26,533,336
   
5,666
  
Facility
 
1,570
 
21.88 %
  
647,163
   
445
  
Partially Rural (11)
 
509
 
7.09 %
  
17,228,029
   
2,767
  
Geographic Area
 
249
 
3.47 %
  
8,125,937
   
899
  
Population Group
 
260
 
3.62 %
  
9,102,092
   
1,868
  
Unknown (12)
 
9
 
0.13 %
  
38,763
   
10
  
Geographic Area
 
2
 
0.03 %
  
38,763
   
10
  
Facility
 
7
 
0.10 %
         
Dental HPSA Totals
 
5,866
    
62,916,553
   
10,802
  
Rural
 
3,456
 
58.92 %
  
20,401,767
   
3,483
  
Geographic Area
 
568
 
9.68 %
  
8,025,210
   
891
  
Population Group
 
1,043
 
17.78 %
  
11,559,354
   
2,214
  
Facility
 
1,845
 
31.45 %
  
817,203
   
378
  
Non-Rural
 
2,033
 
34.66 %
  
29,200,445
   
5,107
  
Geographic Area
 
105
 
1.79 %
  
5,585,743
   
552
  
Population Group
 
477
 
8.13 %
  
22,750,153
   
4,122
  
Facility
 
1,451
 
24.74 %
  
864,549
   
433
  
Partially Rural
 
369
 
6.29 %
  
13,275,578
   
2,205
  
Geographic Area
 
92
 
1.57 %
  
3,318,371
   
317
  
Population Group
 
277
 
4.72 %
  
9,957,207
   
1,888
  
Unknown
 
8
 
0.14 %
  
38,763
   
7
  
Geographic Area
 
2
 
0.03 %
  
38,763
   
7
  
Facility
 
6
 
0.10 %
         
Mental Health HPSA Totals
 
5,042
    
123,832,882
   
5,906
  
Rural
 
2,679
 
53.13 %
  
28,097,388
   
1,697
  
Geographic Area
 
693
 
13.74 %
  
25,127,243
   
1,164
  
Population Group
 
89
 
1.77 %
  
2,001,675
   
130
  
Facility
 
1,897
 
37.62 %
  
968,470
   
403
  
Non-Rural
 
1,899
 
37.66 %
  
34,459,760
   
1,978
  
Geographic Area
 
147
 
2.92 %
  
20,062,010
   
651
  
Population Group
 
162
 
3.21 %
  
13,163,238
   
545
  
Facility
 
1,590
 
31.54 %
  
1,234,512
   
782
  
Partially Rural
 
455
 
9.02 %
  
61,211,276
   
2,228
  
Geographic Area
 
329
 
6.53 %
  
50,145,300
   
1,697
  
Population Group
 
126
 
2.50 %
  
11,065,976
   
531
  
Unknown
 
9
 
0.18 %
  
64,458
   
3
  
Geographic Area
 
3
 
0.06 %
  
64,458
   
3
  
Facility
 
6
 
0.12 %
         
HRSA Data Warehouse
2 of 7
April 27, 2018
Data as of:
01/01/2018

Designated
Health Professional Shortage Areas
Statistics
 
HRSA Data Warehouse
3 of 7
April 27, 2018
Data as of:
01/01/2018

Designated
Health Professional Shortage Areas
Statistics
Table 3. Primary Care Health Professional Shortage Areas, by State, as of December 31, 2017
              
Primary Care
      
Population of
  
Practitioners
Needed to
 
 
Total
  
Geographic
Population
 
Designated
Percent of
 
Remove
 
 
Designations
(1)
 
Area
Group
Facility
HPSAs
Need Met
(3)
Designation
(6)
HPSA Total
7,176
  
1,530
1,788
3,858
84,367,007
48.66 %
 
14,741
 
Region I
256
  
23
54
179
1,374,153
31.67 %
 
325
 
Connecticut
41
  
0
24
17
458,794
0.23 %
 
155
 
Maine
68
  
13
9
46
85,030
42.33 %
 
16
 
Massachusetts
68
  
5
9
54
539,073
38.66 %
 
113
 
New Hampshire
32
  
2
8
22
117,263
56.69 %
 
19
 
Rhode Island
14
  
1
3
10
161,671
66.97 %
 
20
 
Vermont
33
  
2
1
30
12,322
53.56 %
 
2
 
Region II
277
  
27
103
147
7,652,452
33.33 %
 
1,802
 
New Jersey
35
  
0
0
35
28,823
54.90 %
 
13
 
New York
197
  
23
86
88
5,821,682
41.81 %
 
1,205
 
Puerto Rico
39
  
0
17
22
1,690,470
1.92 %
 
554
 
U.S. Virgin Islands
6
  
4
0
2
111,477
18.12 %
 
30
 
Region III
490
  
88
119
283
4,543,501
51.65 %
 
788
 
Delaware
13
  
2
4
7
233,024
31.91 %
 
55
 
District of Columbia
15
  
3
3
9
248,519
27.16 %
 
64
 
Maryland
60
  
10
25
25
1,178,084
47.15 %
 
231
 
Pennsylvania
166
  
18
32
116
727,671
56.05 %
 
134
 
Virginia
110
  
49
15
46
1,528,472
63.14 %
 
185
 
West Virginia
126
  
6
40
80
627,731
45.18 %
 
119
 
Region IV
1,287
  
269
468
550
20,597,408
45.54 %
 
3,789
 
Alabama
99
  
31
28
40
1,919,497
57.58 %
 
278
 
Florida
264
  
15
120
129
5,990,814
21.82 %
 
1,609
 
Georgia
239
  
59
96
84
3,239,213
43.85 %
 
612
 
Kentucky
167
  
52
29
86
1,117,446
61.01 %
 
147
 
Mississippi
117
  
53
26
38
1,747,991
41.16 %
 
344
 
North Carolina
159
  
20
66
73
1,902,580
47.22 %
 
322
 
South Carolina
103
  
18
36
49
2,230,932
69.48 %
 
232
 
Tennessee
139
  
21
67
51
2,448,935
70.21 %
 
245
 
Region V
1,169
  
229
243
697
12,563,160
63.00 %
 
1,528
 
Illinois
234
  
48
77
109
3,847,031
57.43 %
 
527
 
Indiana
159
  
48
52
59
3,259,892
78.37 %
 
234
 
Michigan
361
  
27
51
283
2,193,779
55.87 %
 
320
 
Minnesota
128
  
32
23
73
464,373
47.65 %
 
78
 
Ohio
150
  
42
15
93
1,396,882
55.24 %
 
208
 
Wisconsin
137
  
32
25
80
1,401,203
65.72 %
 
161
 
Region VI
1,000
  
289
208
503
11,466,442
62.42 %
 
1,561
 
Arkansas
103
  
22
54
27
656,572
62.60 %
 
92
 
Louisiana
144
  
51
27
66
2,719,568
68.19 %
 
283
 
New Mexico
104
  
29
10
65
1,048,498
23.00 %
 
261
 
Oklahoma
186
  
13
66
107
1,312,316
56.50 %
 
201
 
Texas
463
  
174
51
238
5,729,488
67.34 %
 
724
 
Region VII
662
  
93
228
341
3,871,357
33.72 %
 
860
 
Iowa
132
  
35
31
66
726,989
62.21 %
 
98
 
Kansas
169
  
20
76
73
802,087
51.31 %
 
134
 
Missouri
250
  
27
121
102
2,314,257
16.99 %
 
622
 
Nebraska
111
  
11
0
100
28,024
56.02 %
 
6
 
Region VIII
522
  
175
107
240
2,759,332
48.47 %
 
490
 
Colorado
123
  
24
38
61
1,068,743
38.41 %
 
225
 
Montana
122
  
29
32
61
330,385
38.37 %
 
63
 
North Dakota
80
  
46
5
29
196,600
35.84 %
 
38
 
South Dakota
94
  
41
13
40
258,414
43.82 %
 
45
 
Utah
62
  
16
17
29
746,636
66.90 %
 
100
 
Wyoming
41
  
19
2
20
158,554
55.67 %
 
19
 
Region IX
990
  
242
138
610
14,588,550
45.62 %
 
2,624
 
Arizona
216
  
79
37
100
4,770,858
45.09 %
 
837
 
California
640
  
130
81
429
7,932,713
45.88 %
 
1,443
 
Hawaii
26
  
5
2
19
184,449
69.81 %
 
17
 
Nevada
90
  
20
17
53
1,235,504
51.23 %
 
205
 
American Samoa
2
  
1
0
1
57,291
10.47 %
 
17
 
Federated States of Micronesia
8
  
3
1
4
106,632
0.00 %
 
36
 
Guam
2
  
1
0
1
186,337
29.79 %
 
44
 
Marshall Islands
2
  
1
0
1
50,638
0.00 %
 
17
 
Northern Mariana Islands
2
  
1
0
1
53,366
72.13 %
 
4
 
Republic of Palau
2
  
1
0
1
10,762
0.00 %
 
4
 
Region X
523
  
95
120
308
4,950,652
38.58 %
 
974
 
Alaska
86
  
17
0
69
116,708
29.15 %
 
29
 
Idaho
103
  
16
31
56
531,793
48.36 %
 
88
 
Oregon
127
  
14
34
79
1,072,476
54.46 %
 
165
 
Washington
207
  
48
55
104
3,229,675
31.63 %
 
692
 
HRSA Data Warehouse
4 of 7
April 27, 2018
Data as of:
01/01/2018

Designated
Health Professional Shortage Areas
Statistics
Table 4. Dental Health Health Professional Shortage Areas, by State, as of December 31, 2017
              
Dental Health
      
Population of
  
Practitioners
Needed to
 
 
Total
  
Geographic
Population
 
Designated
Percent of
 
Remove
 
 
Designations
(1)
 
Area
Group
Facility
HPSAs
Need Met
(4)
Designation
(7)
HPSA Total
5,866
  
767
1,797
3,302
62,916,553
35.28 %
 
10,802
 
Region I
241
  
23
56
162
1,434,411
44.11 %
 
248
 
Connecticut
38
  
0
22
16
430,364
0.00 %
 
105
 
Maine
75
  
14
21
40
302,757
42.45 %
 
40
 
Massachusetts
61
  
7
4
50
453,680
68.85 %
 
61
 
New Hampshire
24
  
0
4
20
39,527
42.52 %
 
6
 
Rhode Island
14
  
0
4
10
178,655
34.89 %
 
34
 
Vermont
29
  
2
1
26
29,428
53.66 %
 
2
 
Region II
208
  
7
38
163
2,865,080
27.20 %
 
561
 
New Jersey
40
  
0
0
40
45,705
25.96 %
 
23
 
New York
139
  
3
38
98
2,701,721
26.79 %
 
519
 
Puerto Rico
24
  
1
0
23
13,159
16.13 %
 
4
 
U.S. Virgin Islands
5
  
3
0
2
104,495
42.11 %
 
15
 
Region III
444
  
45
158
241
5,275,490
38.56 %
 
850
 
Delaware
10
  
0
3
7
178,124
6.84 %
 
50
 
District of Columbia
11
  
0
2
9
83,820
9.30 %
 
20
 
Maryland
49
  
11
18
20
920,107
23.44 %
 
166
 
Pennsylvania
167
  
4
58
105
2,143,077
48.97 %
 
307
 
Virginia
89
  
21
36
32
1,207,685
43.01 %
 
166
 
West Virginia
118
  
9
41
68
742,677
28.80 %
 
141
 
Region IV
1,077
  
140
458
479
17,739,844
25.09 %
 
3,402
 
Alabama
64
  
0
43
21
1,792,743
20.37 %
 
357
 
Florida
223
  
1
105
117
5,185,561
13.28 %
 
1,169
 
Georgia
192
  
42
81
69
2,020,389
23.06 %
 
405
 
Kentucky
111
  
13
23
75
555,405
55.90 %
 
59
 
Mississippi
110
  
56
23
31
1,798,158
46.17 %
 
245
 
North Carolina
144
  
3
71
70
2,330,121
18.79 %
 
488
 
South Carolina
85
  
20
18
47
1,656,183
40.44 %
 
252
 
Tennessee
148
  
5
94
49
2,401,284
29.41 %
 
427
 
Region V
951
  
32
362
557
9,435,276
32.71 %
 
1,651
 
Illinois
166
  
6
77
83
2,580,979
43.92 %
 
386
 
Indiana
69
  
7
22
40
1,098,107
37.08 %
 
182
 
Michigan
283
  
1
60
222
1,323,505
6.01 %
 
321
 
Minnesota
134
  
11
65
58
768,755
20.40 %
 
159
 
Ohio
161
  
7
80
74
2,117,101
34.45 %
 
349
 
Wisconsin
138
  
0
58
80
1,546,829
36.64 %
 
254
 
Region VI
769
  
186
155
428
8,676,312
60.92 %
 
1,053
 
Arkansas
84
  
10
52
22
673,677
38.46 %
 
101
 
Louisiana
117
  
38
21
58
2,006,437
54.26 %
 
232
 
New Mexico
82
  
21
16
45
891,071
21.44 %
 
174
 
Oklahoma
164
  
7
59
98
901,763
35.85 %
 
163
 
Texas
322
  
110
7
205
4,203,364
75.34 %
 
383
 
Region VII
564
  
72
231
261
3,612,583
24.22 %
 
661
 
Iowa
125
  
13
56
56
575,429
42.02 %
 
82
 
Kansas
138
  
27
64
47
647,183
29.37 %
 
107
 
Missouri
220
  
31
109
80
2,382,155
18.33 %
 
472
 
Nebraska
81
  
1
2
78
7,816
78.38 %
 
0
 
Region VIII
378
  
84
93
201
1,930,535
46.92 %
 
259
 
Colorado
101
  
21
30
50
713,469
39.99 %
 
110
 
Montana
85
  
11
18
56
202,582
36.79 %
 
32
 
North Dakota
41
  
20
2
19
91,060
32.72 %
 
11
 
South Dakota
67
  
22
14
31
157,140
33.69 %
 
28
 
Utah
53
  
5
23
25
693,700
59.58 %
 
72
 
Wyoming
31
  
5
6
20
72,584
64.51 %
 
6
 
Region IX
814
  
130
129
555
7,406,779
32.30 %
 
1,318
 
Arizona
257
  
94
65
98
4,640,143
32.99 %
 
792
 
California
439
  
16
41
382
1,229,760
31.58 %
 
258
 
Hawaii
20
  
1
1
18
40,313
36.09 %
 
7
 
Nevada
81
  
11
22
48
1,240,327
36.40 %
 
200
 
American Samoa
2
  
1
0
1
57,291
8.38 %
 
13
 
Federated States of Micronesia
8
  
4
0
4
107,020
0.00 %
 
27
 
Guam
1
  
0
0
1
 
---
   
Marshall Islands
2
  
1
0
1
27,797
0.00 %
 
7
 
Northern Mariana Islands
2
  
1
0
1
53,366
0.00 %
 
11
 
Republic of Palau
2
  
1
0
1
10,762
0.00 %
 
3
 
Region X
420
  
48
117
255
4,540,243
26.77 %
 
799
 
Alaska
66
  
15
0
51
138,234
37.34 %
 
20
 
Idaho
97
  
6
38
53
503,387
45.10 %
 
68
 
Oregon
107
  
3
37
67
1,194,258
22.26 %
 
234
 
Washington
150
  
24
42
84
2,704,364
24.74 %
 
477
 
HRSA Data Warehouse
5 of 7
April 27, 2018
Data as of:
01/01/2018

Designated
Health Professional Shortage Areas
Statistics
Table 5. Mental Health Care Health Professional Shortage Areas, by State, as of December 31, 2017
              
Mental Health Care
      
Population of
  
Practitioners
Needed to
 
 
Total
  
Geographic
Population
 
Designated
Percent of
 
Remove
 
 
Designations
(1)
 
Area
Group
Facility
HPSAs
Need Met
(5)
Designation
(8)
HPSA Total
5,042
  
1,172
377
3,493
123,832,882
32.52 %
 
5,906
 
Region I
198
  
26
9
163
4,445,254
42.61 %
 
187
 
Connecticut
34
  
8
4
22
3,212,364
40.52 %
 
116
 
Maine
51
  
12
0
39
261,782
33.58 %
 
29
 
Massachusetts
56
  
1
4
51
436,302
42.35 %
 
29
 
New Hampshire
20
  
3
0
17
92,634
45.04 %
 
3
 
Rhode Island
13
  
2
1
10
442,172
67.86 %
 
10
 
Vermont
24
  
0
0
24
 
---
   
Region II
244
  
20
54
170
6,024,707
41.35 %
 
261
 
New Jersey
38
  
0
0
38
32,755
71.51 %
 
4
 
New York
159
  
16
43
100
4,435,492
42.43 %
 
197
 
Puerto Rico
42
  
1
11
30
1,451,959
21.04 %
 
51
 
U.S. Virgin Islands
5
  
3
0
2
104,501
60.95 %
 
9
 
Region III
415
  
70
58
287
7,152,950
40.64 %
 
443
 
Delaware
14
  
0
1
13
88,323
7.77 %
 
15
 
District of Columbia
10
  
1
0
9
133,945
5.31 %
 
28
 
Maryland
59
  
13
14
32
1,535,876
52.52 %
 
92
 
Pennsylvania
123
  
25
1
97
1,808,176
38.73 %
 
105
 
Virginia
80
  
17
7
56
2,141,634
40.70 %
 
110
 
West Virginia
129
  
14
35
80
1,444,996
37.56 %
 
93
 
Region IV
767
  
140
121
506
27,113,007
28.92 %
 
1,458
 
Alabama
53
  
14
7
32
2,913,725
25.83 %
 
149
 
Florida
160
  
16
32
112
4,935,227
28.88 %
 
158
 
Georgia
109
  
23
8
78
6,540,716
44.74 %
 
205
 
Kentucky
107
  
30
2
75
2,255,845
37.39 %
 
87
 
Mississippi
47
  
13
0
34
2,388,011
23.76 %
 
372
 
North Carolina
152
  
25
47
80
2,679,240
19.81 %
 
118
 
South Carolina
66
  
9
9
48
1,890,058
51.71 %
 
61
 
Tennessee
73
  
10
16
47
3,510,185
13.41 %
 
308
 
Region V
790
  
196
19
575
20,158,246
29.09 %
 
1,030
 
Illinois
126
  
33
5
88
5,128,380
28.02 %
 
214
 
Indiana
81
  
31
4
46
4,604,867
31.70 %
 
226
 
Minnesota
65
  
9
0
56
1,996,166
37.19 %
 
66
 
Michigan
269
  
51
3
215
3,796,494
28.74 %
 
167
 
Ohio
113
  
20
7
86
2,334,584
31.99 %
 
110
 
Wisconsin
136
  
52
0
84
2,297,755
23.45 %
 
247
 
Region VI
780
  
293
31
456
16,707,921
35.91 %
 
796
 
Arkansas
45
  
5
9
31
1,088,383
41.16 %
 
31
 
Louisiana
121
  
54
8
59
3,188,241
21.60 %
 
165
 
New Mexico
72
  
16
2
54
1,251,275
12.30 %
 
75
 
Oklahoma
117
  
4
9
104
1,551,366
21.60 %
 
93
 
Texas
425
  
214
3
208
9,628,656
44.02 %
 
432
 
Region VII
344
  
52
19
273
7,391,256
34.15 %
 
269
 
Iowa
72
  
16
0
56
1,694,382
48.07 %
 
45
 
Kansas
71
  
20
2
49
1,444,937
43.65 %
 
39
 
Missouri
117
  
11
17
89
3,212,943
20.75 %
 
159
 
Nebraska
84
  
5
0
79
1,038,994
50.82 %
 
26
 
Region VIII
357
  
112
10
235
6,276,452
31.33 %
 
299
 
Colorado
92
  
11
4
77
2,084,535
28.25 %
 
91
 
Montana
82
  
23
5
54
558,619
23.20 %
 
68
 
North Dakota
56
  
31
0
25
394,208
36.22 %
 
20
 
South Dakota
64
  
29
0
35
665,269
12.69 %
 
38
 
Utah
39
  
13
1
25
2,012,634
47.62 %
 
57
 
Wyoming
24
  
5
0
19
561,187
31.46 %
 
25
 
Region IX
761
  
163
38
560
20,248,015
30.26 %
 
832
 
Arizona
182
  
70
15
97
9,164,190
16.56 %
 
398
 
California
468
  
62
21
385
6,486,018
33.99 %
 
260
 
Hawaii
29
  
9
1
19
317,911
75.23 %
 
5
 
Nevada
65
  
14
1
50
3,867,098
43.69 %
 
156
 
American Samoa
2
  
1
0
1
57,292
0.00 %
 
3
 
Federated States of Micronesia
8
  
4
0
4
107,020
0.00 %
 
6
 
Guam
2
  
1
0
1
159,358
58.97 %
 
3
 
Marshall Islands
1
  
0
0
1
 
---
   
Northern Mariana Islands
2
  
1
0
1
69,221
86.96 %
 
0
 
Republic of Palau
2
  
1
0
1
19,907
0.00 %
 
1
 
Region X
386
  
100
18
268
8,315,074
26.92 %
 
331
 
Alaska
70
  
18
0
52
276,449
23.38 %
 
10
 
Idaho
63
  
7
1
55
1,700,834
37.36 %
 
45
 
Oregon
95
  
18
7
70
1,899,357
32.68 %
 
84
 
Washington
158
  
57
10
91
4,438,434
21.09 %
 
192
 
HRSA Data Warehouse
6 of 7
April 27, 2018
Data as of:
01/01/2018

Designated
Health Professional Shortage Areas
Statistics
 
Endnotes
 
(1)
The number of designations includes HPSAs that are proposed for withdrawal (P) and HPSAs that have no data (N). Designations are not withdrawn until a Federal Register Notice is published, generally once a year on or around July 1.
 
(2)
The figure reported for the Population of Designated Facility HPSAs for both Primary Care and Dental reflects the number of internees in designated correctional facilities. The figure reported for the Population of Designated Facility HPSAs for Mental Health reflects the number of internees in designated correctional facilities, as well as the average daily inpatient census for state and county mental hospitals designated after September 1, 2015. For reports generated prior to September 1, 2015, the Population of Designated Facility HPSAs for all disciplines included populations served by other public or non-profit facilities. These are facilities that qualify for HPSA designation by demonstrating that even though they are not located in a geographic or population HPSA, they serve the populations of geographic and population HPSAs. As a result, these populations were potentially double counted.
 
(3)
The figure reported for Percent of Need Met for facility HPSAs includes correctional facilities and state mental hospitals. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet National Health Service Corps (NHSC) site requirements.
 
(4)
The percent of need met is computed by dividing the number of primary care physicians available to serve the population of the area, group, or facility by the number of primary care physicians that would be necessary to reduce the population to provider ratio below the threshold for designation so that it would eliminate the designation as a primary care HPSA. Federal regulations stipulate that, in order to be considered as having a shortage of providers, a designation must have a population-to-provider ratio that meets or exceeds a certain threshold. For primary care geographic designations, the population to provider ratio must be at least 3,500 to 1. For primary care population designations or geographic designations in areas with unusually high needs, the threshold is 3,000 to 1. For correctional facilities, the threshold is 1,000:1 and takes into account the average length of stay, and whether or not intake examinations are routinely performed.
 
(5)
The percent of need met is computed by dividing the number of dentists available to serve the population of the area, group, or facility by the number of dentists that would be necessary to reduce the population to provider ratio below the threshold for designation so that it would eliminate the designation as a dental HPSA. Federal regulations stipulate that, in order to be considered as having a shortage of providers, a designation must have a population-to-provider ratio that meets or exceeds a certain threshold. For dental geographic designations, the ratio must be at least 5,000 to 1. For dental population designations or geographic designations in areas with unusually high needs, the threshold is 4,000 to 1. For correctional facilities, the threshold is 1,500:1 and takes into account the average length of stay, and whether or not intake examinations are routinely performed.
 
(6)
The percent of need met is computed by dividing the number of mental health providers available to serve the population of the area, group, or facility by the number of mental health providers that would be necessary to reduce the population to provider ratio below the threshold for designation so that it would eliminate the designation as a mental health HPSA. Federal regulations stipulate that, in order to be considered as having a shortage of providers, a designation must have a population-to-provider ratio that meets or exceeds a certain threshold. Mental health designations may qualify for designation based on the population to psychiatrist ratio, the population to core mental health provider (psychiatrists, clinical psychologists, clinical social workers, psychiatric nurse specialists, and marriage and family therapists) ratio, or the population to both psychiatrist and core mental health provider ratios. For mental health geographic designations based on the ratio of population to psychiatrist ratio, the designation must have a ratio of 30,000 to 1, while for population designations or geographic designations in areas with unusually high needs, the threshold is 20,000 to 1. For mental health geographic designations based on the ratio of population to core mental health providers, the designation must have a ratio of 9,000 to 1, while for population designations or geographic designations in areas with unusually high needs, the threshold is 6,000 to 1. For mental health geographic designations based on the ratios of both population to psychiatrist and population to core mental health providers, the designation must have ratios of 20,000 to 1 (psychiatrists) and 6,000 to 1 (core mental health providers), while for population designations or geographic designations in areas with unusually high needs, the thresholds are 15,000 to 1 (psychiatrists) and 4,500 to 1 (core mental health providers). For correctional facilities, the threshold is 2,000:1 and takes into account the average length of stay, and whether or not intake examinations are routinely performed. For state mental hospitals, the calculation is based on workload units, which are a function of the average daily inpatient census and the number and type of admissions. For correctional facilities and state mental hospitals, psychiatrists are the only provider type counted.
 
(7)
The number of additional primary care physicians needed to achieve a population-to-primary care physician ratio below the thresholds necessary for designation in all designated primary care HPSAs that would result in their removal from designation. The formula used to designate primary care HPSAs does not take into account the availability of additional primary care services provided by nurse practitioners and physician assistants in an area. The figure reported for Practitioners Needed To Remove Designations for facility HPSAs includes correctional facilities. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet NHSC site requirements.
 
(8)
The number of additional dentists needed to achieve a population-to-dentist ratio below the thresholds necessary for designation in all designated dental HPSAs that would result in their removal from designation. The figure reported for Practitioners Needed To Remove Designations for facility HPSAs includes correctional facilities. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet NHSC site requirements.
 
(9)
The number of additional mental health providers needed to achieve a population-to-provider ratio below the thresholds necessary for designation in all designated mental health HPSAs that would result in their removal from designation. While the regulations allow mental health HPSA designations to be based on the psychiatrist to population ratio, the core mental health provider to population ratio, or both in conjunction, most mental health HPSA designations are currently based on the psychiatrists only to population ratio. If a HPSA designation is based on the ratio of population to psychiatrists only, it does not take into account the availability of additional mental health services provided by other mental health providers in the area, such as clinical psychologists, clinical social workers, psychiatric nurse specialists, and marriage and family therapists. The figure reported for Practitioners Needed To Remove Designations for facility HPSAs includes correctional facilities and state mental hospitals. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet NHSC site requirements.
 
(10)
Percentages of all designations classified as rural/non-rural are calculated by dividing the number of designations for the specified subcategory by the total number of designations for each discipline type and multiplying the result by 100. Due to decimal rounding, percentage totals may not equal exactly 100%.
 
(11)
Partially rural designations are those made up of geographic components that have a mixture of rural, non-rural, and unknown statuses.
 
(12)
Designations of unknown rural status may include 1) facility HPSAs whose precise location could not be located on a map (i.e. geocoded) or 2) geographic or population group HPSAs that are made up of some or all areas for which rural status is undefined. Rural status may be undefined where rural information or underlying geographic reference data for administrative boundaries is unavailable for the specified geographic area.
   
HRSA Data Warehouse
7 of 7
April 27, 2018
Data as of:
01/01/2018